{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T16:21:30Z","timestamp":1782750090497,"version":"3.54.5"},"reference-count":17,"publisher":"Universa BV","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AGEB"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>Background: Pelvic abscess is a common complication of abdominal surgery or intestinal or gynecological diseases. Over the last decades, endoscopic ultrasound (EUS)-guided drainage has emerged as a minimally invasive alternative to percutaneous or surgical treatment of pelvic abscesses. Aim: To evaluate safety and efficacy of EUS-guided transrectal pelvic abscess drainage in a single center. Methods: From February 2017 to April 2023, all data on patients who were treated for pelvic abscesses by EUS-guided drainage in a single center, were retrospectively analyzed. Results: A total of 17 patients were treated for pelvic abscesses by EUS-guided drainage. The procedure was technically successful and uneventful in all 17 patients (100%). Etiology of the abscess was postsurgical (n=5, 29%), secondary to medical illness (n=10, 59%) or gastrointestinal perforation (n=2, 12%). The abscess was multilocular in 5 patients (29%), the mean largest diameter was 76 mm (range 40-146 mm). Drainage was performed using 2 double pigtail stents, and in 1 patient an additional 10 Fr drainage catheter was deployed. Two patients (12%) required a second endoscopic intervention. Treatment success, defined by complete abscess resolution on follow-up CT scan along with symptom relief, was 100%. There was no need for surgical intervention. The median post-procedural hospital stay was 5 days. No recurrence was reported within a median time of follow-up of 39 months. Conclusion: EUS-guided transrectal drainage of pelvic abscesses using double pigtail stents is safe and highly effective. This case series contributes to the cumulative evidence that, in expert hands, EUS-guided drainage should be considered as first-line approach for treatment of pelvic abscesses.<\/jats:p>","DOI":"10.51821\/86.3.12029","type":"journal-article","created":{"date-parts":[[2023,10,21]],"date-time":"2023-10-21T17:25:33Z","timestamp":1697909133000},"page":"395-400","source":"Crossref","is-referenced-by-count":7,"title":["EUS-guided transrectal drainage of pelvic abscesses: a retrospective analysis of 17 patients"],"prefix":"10.51821","volume":"86","author":[{"given":"H","family":"Peeters","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Simoens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Lenz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2023,10]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"MAHADEV S., LEE DS. Endoscopic Ultrasound-Guided Drainage of Pelvic Fluid Collections. Gastrointest. Endosc. Clin. N. Am., 2017, 27:: 727-739.","DOI":"10.1016\/j.giec.2017.06.010"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"MCGAHAN J.P., WU C. Sonographically guided transvaginal or transrectal pelvic abscess drainage using the trocar method with a new drainage guide attachment. Am. J. Roentgenol., 2008, 191:: 1540-1544.","DOI":"10.2214\/ajr.07.3830"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"LAGANA D., CARRAFIELLO G., MANGINI M., LANNIELLO A., GIORGIANNI A., NICOTERA P. et al. Image-guided percutaneous treatment of abdominal-pelvic abscesses: a 5-year experience. Radiol. Med. 2008, 113:: 999-1007.","DOI":"10.1007\/s11547-008-0320-3"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"GIOVANNINI M., BORIES E., MOUTARDIER V., PESENTI C., GUILLEMIN A., LELONG B. et al. Drainage of Deep Pelvic Abscesses Using Therapeutic Echo Endoscopy. Endoscopy, 2003, 35:: 511-514.","DOI":"10.1055\/s-2003-39673"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"POINCLOUX L., CAILLOL F., ALLIMANT C., BORIES E., PESENTI C., MULLIEZ A. et al. Long-term outcome of endoscopic ultrasound-guided pelvic abscess drainage: a two-center series. Endoscopy, 2017, 49:: 484-490.","DOI":"10.1055\/s-0042-122011"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"RAMESH J., BANG J.Y., TREVINO J., VARADARAJULU S. Comparison of outcomes between endoscopic ultrasound-guided transcolonic and transrectal drainage of abdominopelvic abscesses. J. Gastroenterol. Hepatol., 2013, 28:: 620-625.","DOI":"10.1111\/jgh.12081"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"VARADARAJULU S., DRELICHMAN E.R. Effectiveness of EUS in drainage of pelvic abscesses in 25 consecutive patients (with video). Gastrointest. Endosc., 2009, 70:: 1121-1127.","DOI":"10.1016\/j.gie.2009.08.034"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"HADITHI M., BRUNO M.J. Endoscopic ultrasound-guided drainage of pelvic abscess: A case series of 8 patients. World J. Gastrointest. Endosc., 2014, 6:: 373-378.","DOI":"10.4253\/wjge.v6.i8.373"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"RATONE J.P., BERTRAND J., GODAT S., BERNARD J.P., HEYRIES L. Transrectal drainage of pelvic collections: Experience of a single center. Endosc. Ultrasound, 2016, 5:: 108-110","DOI":"10.4103\/2303-9027.180474"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"VARADARAJULU S., DRELICHMAN E.R. EUS-guided drainage of pelvic abscess (with video). Gastrointest. Endosc., 2007, 66:: 372-376.","DOI":"10.1016\/j.gie.2007.02.054"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"PURI R. CHOUDHARY N.S., KOTECHA H., SHAH S. P., PALIWAL M., MISRA S.R. et al. Endoscopic ultrasound-guided pelvic and prostatic abscess drainage: experience in 30 patients. Indian J. Gastroenterol., 2014, 33:: 410-413.","DOI":"10.1007\/s12664-014-0485-8"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"DHINSA B.S., NAGA Y., SAGHIR S.M., DHALIWAL A., RAMAI D., CROSS C. et al. EUS-guided pelvic drainage: A systematic review and meta-analysis. Endosc. Ultrasound, 2021, 10:: 185-190.","DOI":"10.4103\/eus.eus_71_20"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"SEEWALD S., ANG T.L., TENG K.Y., ZHONG Y., RICHTER H., IMAZU H. et al. Endoscopic ultrasound-guided drainage of abdominal abscesses and infected necrosis. Endoscopy, 2009, 41:: 166-174.","DOI":"10.1055\/s-0028-1119501"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"VARADARAJULU S., LEE Y.T., EUS 2008 WORKING GROUP. EUS 2008 Working Group document: evaluation of EUS-guided drainage of pelvic-fluid collections (with video). Gastrointest. Endosc., 2009, 69:: S32-36","DOI":"10.1016\/j.gie.2008.11.005"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"LISOTTI A., COMINARDI A., BACCHILEGA I., LINGUERRI M.D., FUSAROLI M.D. EUS-guided transrectal drainage of pelvic fluid collections using electrocautery-enhanced lumen-apposing metal stents: a case series. VideoGIE, 2020, 5(8):: 380-385.","DOI":"10.1016\/j.vgie.2020.04.014"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"MONINO L., BACHMANN R., DENIS M.A., LEONARD D., REMUE C., KARTHEUSER A., MOREELS T. EUS-guided drainage of non-surgical pelvic abscesses using small size lumen-apposing metal stents. Endoscopy, 2023, 55(S02):: 103.","DOI":"10.1055\/s-0043-1765243"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"MANVAR A., SACHDEV A.H., HO S., DESAI A.P., KARIA K., JAVED S., GONDA T.A. et al. Mo1259 EUS Guided Drainage of Pelvic Fluid Collections with Lumen-Apposing Metal Stents. Gastrointest. Endosc., 2017, 85(5):: AB480","DOI":"10.1016\/j.gie.2017.03.1108"}],"container-title":["Acta Gastro Enterologica Belgica"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T15:03:09Z","timestamp":1703430189000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ageb.be\/ageb-journal\/ageb-volume\/ageb-article\/2112\/EUS-guided%20transrectal%20drainage%20of%20pelvic%20abscesses:%20a%20retrospective%20analysis%20of17%20patients\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":17,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,10]]},"published-print":{"date-parts":[[2023,9]]}},"URL":"https:\/\/doi.org\/10.51821\/86.3.12029","relation":{},"ISSN":["1784-3227"],"issn-type":[{"value":"1784-3227","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9]]}}}